EM Pulse Podcast™

Latest Episodes:

Do I really need to LP a febrile infant with a UTI? Nov 17, 2022

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In this podcast we discuss the prevalence of bacteremia and even more interestingly the prevalence of meningitis in febrile infants

COVID Update Nov 03, 2022

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We’ve heard talk that the pandemic is “over”, but are we there? It’s been a while since we talked about COVID, but it’s still out there, mutating and spreading. In this episode, we catch up with our infectious disease specialist, Dr. Dean Blumberg, to get all the up to date information on the virus, the new bivalent vaccine, and the meds available for treatment and prophylaxis. We discuss what to expect for the upcoming cold and flu season, and we get an update on monkeypox. Bottom line, the next few months aren’t going to be pretty. Go get your flu shot and your bivalent booster! We got our vaccines, have you? 💉 Share your questions and concerns with us on social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests: Dr. Dean Blumberg, Professor and Chief of Pediatric Infectious Disease at UC Davis, Co-Host of the Kids Considered Podcast Resources: Institute for Health Metrics and Evaluation (IHME) COVID-19 projections (University of Washington) CDC vaccine information page A tripledemic expected this winter, by Tricia Tomiyoshi, UC Davis *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Legal Part 5: Lens of Truth Oct 18, 2022

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For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the fifth and final episode of our series, we explore the role of expert witness with our own experts, Dr. Jim Holmes and Dr. David Barnes. We get into what it takes to be a medical expert and what to expect when you meet with the legal team and work through a case. There are benefits to being an expert witness, but it can also be a stressful and time consuming endeavor. Is it right for you? Have you acted as an expert witness? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Dr. David Barnes, Professor of Emergency Medicine at UC Davis Dr. James Holmes, Professor of Emergency Medicine at UC Davis Resources: Expert Witness Guidelines for the Specialty of Emergency Medicine, ACEP Policy Statement NIH NLM StatPearls: Expert Witness, by Yasmyne Ronquillo, Kenneth J. Robinson, and Patricia P. Nouhan *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Legal Part 4: Living through litigation Oct 04, 2022

Show notes

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the fourth episode of our series, we continue our conversation with Tom Doyle highlighting what EM physicians should know about being sued and living through a lawsuit. We delve into the importance of charting, including how the EMR can both help and hurt you. And we address how to handle it when mistakes are made. Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Thomas J. Doyle, Partner at Schuering, Zimmerman & Doyle in Sacramento, CA. Resources: Law 101 for Experts: Understanding Jury Trials, by Dani Alexis Ryskamp, JD 1 in 3 physicians has been sued; by age 55, 1 in 2 hit with suit, by Kevin B. O’Reilly, News Editor, AMA Getting Sued: A Resident's Perspective (ACEP) Malpractice Litigation Stress: Doctors Beware, presentation by Dr. Gillian Schmitz (ACEP) Things I Want You to Know About Malpractice Litigation, by Dr. Stacia Dearmin, founder of Thrive, for the ACEP section American Association of Women Emergency Physicians *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Legal Part 3: So you’ve been sued Sep 18, 2022

Show notes

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the third episode of our series, we get into what we all dread - being sued. We explore the ins and outs of a malpractice lawsuit with Tom Doyle, a Partner at Schuering, Zimmerman & Doyle who has 40 years of experience in the field. Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Thomas J. Doyle, Partner at Schuering, Zimmerman & Doyle in Sacramento, CA. Resources: 1 in 3 physicians has been sued; by age 55, 1 in 2 hit with suit, by Kevin B. O’Reilly, News Editor, AMA Getting Sued: A Resident's Perspective (ACEP) Malpractice Litigation Stress: Doctors Beware, presentation by Dr. Gillian Schmitz (ACEP) Things I Want You to Know About Malpractice Litigation, by Dr. Stacia Dearmin, founder of Thrive, for the ACEP section American Association of Women Emergency Physicians *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Legal Part 2: They made me say the earth is flat Sep 04, 2022

Show notes

*Please first listen to "Legal Part 1: A Subpoena is not a party invitation" before this episode. For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the second episode of our series, we talk about being a percipient witness. It’s not uncommon for EM physicians to be subpoenaed to testify as a percipient witness, so let’s delve into what that means and what you should do if you find yourself in this role. What kinds of experiences have you had with the legal system? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Chris Ore, Deputy District Attorney for Sacramento County and Supervisor of the Child Sexual Assault Unit Resources: When is a Treating Physician Considered an Expert Witness? (Expert Institute) Medical Testimony: Code of Medical Ethics Opinion 9.7.1 (AMA) The Treating Physician as a Witness (NPR Law) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Legal Part 1: A subpoena is not a party invitation Sep 04, 2022

Show notes

For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we’ll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. This first episode is a sort of legal 101. We discuss the basics of the legal system and what what EM Physicians need to know. What kinds of experiences have you had with the legal system? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Chris Ore, Deputy District Attorney for Sacramento County and Supervisor of the Child Sexual Assault Unit Resources: Law 101 for Experts: Understanding the Legal System (Expert Institute) ACEP Medical-Legal Resources *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

A chat with an ED clinical pharmacist Jul 18, 2022

Show notes

Integrating an ED clinical pharmacist was a complete practice changer for us at UC Davis! It is a positive trend across the US and in this episode, we talk with Chris Adams, Clinical Senior Pharmacist at UC Davis. Tell us how YOUR department integrates a pharmacist @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their stories, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Host: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Guest: Chris Adams, Clinical Senior Pharmacist at UC Davis *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services. Resources: Farmer BM, Hayes BD, Rao R, Farrell N, Nelson L. The role of clinical pharmacists in the emergency department. J Med Toxicol. 2018;14(1):114-116. Acquisto NM, Hays DP, Fairbanks RJT, et al. The outcomes of emergency pharmacist participation during acute myocardial infarction. J Emerg Med. 2012;42(4):371-378. Jacoby JS, Draper HM, Dumkow LE, Farooq MU, DeYoung GR, Brandt KL. Emergency medicine pharmacist impact on door-to-needle time in patients with acute ischemic stroke. Neurohospitalist. 2018;8(2):60-65. Moussavi K, Nikitenko V. Pharmacist impact on time to antibiotic administration in patients with sepsis in an ED. Am J Emerg Med. 2016;34(11):2117-2121. Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department. Ann Emerg Med. 2012;59(5):369-373.

Let’s talk PrEP Jul 04, 2022

Show notes

Back in our March 2020 episode, This is Hope, we spoke with Dr. Larissa May about HIV screening in the ED. Screening programs, along with education and other resources, is making a difference, but there are still tens of thousands of new HIV cases in the U.S. each year, and probably 1-2 million new infections annually worldwide. There are clinical trials in progress studying potential HIV vaccines, which is exciting, but a widely available vaccine is still many years away. Luckily, we DO have a safe and effective way to help prevent new infections and transmission - pre-exposure prophylaxis (PrEP). Dr. Michael Casner joins us to share his expertise in all things PrEP, so we can help our patients stay safe and healthy. Do you talk to your patients about PrEP? Does your ED have a way to connect patients with resources to obtain PrEP? Share your experience with us on social media, @empulsepodcast, via email empulsepodcast@gmail.com, or through our website, ucdavisem.com. Then please head over to iTunes and leave us a review. And please pass the word along to your friends and colleagues! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Michael Casner, Emergency Physician at Mount Sinai and Holy Cross hospitals in Chicago, IL, and part-time Emergency Medicine Faculty at the University of Missouri, Kansas City, MO. Resources: HIV.gov PrEP information and resources Ready, Set, PrEP - medication at no cost for those who qualify Preexposure Prophylaxis for the Prevention of HIV Infection in the United States—2021 Update—A Clinical Practice Guideline Rodger AJ, Cambiano V, Bruun T, et al. Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy (PARTNER): final results of a multicentre, prospective, observational study. Lancet. 2019;393(10189):2428-2438. doi:10.1016/S0140-6736(19)30418-0 Support Dr. Casner’s team in the AIDS/LifeCycle! *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services. Dr Mike Casner

Please Don’t Hurt Me! Jun 19, 2022

Show notes

Kids, pain, and the emergency department can be a set up for disaster. In this podcast, three pediatric specialists get into why that is and how we can all be better at treating kids in pain. Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests: Kimberly Wheatley, RN, UC Davis Pediatric Nurse Katheryn Finan, UC Davis Child Life Specialist Resources: The Emergency Medical Services for Children Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $3M with 0 percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov. Email km@emscimprovement.center Follow on Twitter @EMSCImprovement References: EIIC Pediatric Pain toolkit Goyal MK, Johnson TJ, Chamberlain JM, Cook L, Webb M, Drendel AL, Alessandrini E, Bajaj L, Lorch S, Grundmeier RW, Alpern ER; PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK (PECARN). Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures. Pediatrics. 2020 May;145(5):e20193370. doi: 10.1542/peds.2019-3370. Epub 2020 Apr 20. PMID: 32312910; PMCID: PMC7193974. Johnson TJ, Weaver MD, Borrero S, Davis EM, Myaskovsky L, Zuckerbraun NS, Kraemer KL. Association of race and ethnicity with management of abdominal pain in the emergency department. Pediatrics. 2013 Oct;132(4):e851-8. doi: 10.1542/peds.2012-3127. Epub 2013 Sep 23. PMID: 24062370; PMCID: PMC4074647.

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